Individual provider Active NPI

Lyndsey Ryan

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1639311582
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012124 Issued in CO
Practice address
600 S Airport Rd
Longmont, CO 80503-6424
Phone
(303) 883-6921
Fax
(720) 745-6415
NPI assigned
Mar 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0012124 CO Primary

Addresses

Primary practice location

600 S Airport Rd
Longmont, CO 80503-6424

Mailing address

600 S Airport Rd
Longmont, CO 80503-6424
Phone (303) 883-6921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0012124COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychotherapy and Consulting, LLC Mental Health Current Accepting new patients
Integrating Insights, Inc Mental Health Current Accepting new patients
Embodied Illumination Psychotherapy Professional Current Accepting new patients

Locations

2503 Walnut St
Ste 201
Boulder, CO 80302
Phone (303) 872-4077

600 S Airport Rd
Bldg A
Longmont, CO 80503
Phone (303) 587-8998

600 S Airport Rd
Longmont, CO 80503
Phone (303) 776-6767

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1639311582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036424",
            "telephone_number": "303-883-6921",
            "fax_number": "720-745-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036424",
            "telephone_number": "303-883-6921",
            "fax_number": "720-745-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LYNDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.